What are the early symptoms of myelitis?

The clinical symptoms of myelitis can vary according to the location and extent of the lesion. Because of the long thoracic medullary cord segments and poor blood supply to some segments, lesions often predispose the thoracic cord. The first symptoms are usually numbness and weakness in both lower limbs, back pain in the corresponding part of the lesion, a feeling of banding, or difficulty urinating.

2 After 3 days, the disease progresses to its peak with complete paralysis below the level of the lesion, loss of sensation, little or no sweating, and stool retention. The course of acute myelitis is generally unidirectional, but in some patients, acute myelitis is the first symptom, and the lesion can then involve the optic nerve, the white matter of the brain, or re-involve the spinal cord, thus evolving into neuromyelitis optica, multiple sclerosis, or ** myelitis.

Massage and passive functional exercises on the paralyzed limbs to improve the patient's limb blood circulation, prevent limb contracture and rigidity, and encourage the patient to carry out active functional exercises when the patient's limb function gradually recovers, so that it can be used as soon as possible.

The cause of myelitis is due to viral infection, the spinal cord is inflammatory infiltration for too long for a long time, and the spinal cord nerve function is disordered, which cannot effectively regulate the body's qi and blood flow. Transverse spinal cord lesions below the level of the lesion may be seen.

Complete motor paralysis is present, loss of deep and superficial sensation, little or no sweating, and sphincter dysfunction. In the shock stage, limb paralysis is flaccid paralysis, low muscle tone, low or absent tendon reflexes, negative pathological signs, and loss of abdominal wall reflexes and cremaster reflexes; During the convalescent period, muscle tone is increased, tendon reflexes are hyperactive, and pathological signs are positive.

The pathological changes are inflammation and degeneration, mainly manifested as leptomeningea and spinal cord edema, degeneration, inflammatory cell infiltration, exudation, nerve cell swelling, and in severe cases, spinal cord malacia, necrosis, hemorrhage, chronic phase nerve cell atrophy, nerve myelin loss, axonal degeneration, and glial cell hyperplasia. Cerebrospinal fluid examination in the acute phase of the disease may show a mildly elevated white blood cell count and protein content.

In the early stage of myelitis, it refers to the history of upper respiratory tract or intestinal infection about two weeks before the onset of the disease, or due to excessive exertion and cold, the patient can have the symptoms of paraplegia within a few hours or 1 2 days, and some patients will have back pain, banding, and limb numbness and weakness before the onset of the disease, and some patients will have symptoms of total paralysis after a few days to 10 days of myelitis, with the gradual development of the disease, Therefore, the clinical symptoms are different according to the scope of the patient's disease and different physiques, and the main manifestations are numbness and weakness of the lower limbs, and even difficulty in urinating.

1. Movement disorder.

In fact, osteomyelitis usually occurs suddenly, and many patients find movement disorders and paralysis of the limbs. The cervical spine and other parts of the human body are affected by water accumulation, and in the late stage of the disease, there will be shock, resulting in paralysis of the human respiratory muscles, which will eventually lead to death, so we must ** as soon as possible.

2. Numbness of limbs.

Patients with myelitis may have sensory deficits, and many patients usually have reduced sensitivity to temperature and are painless after the disease. During the attack, the lower limbs will be numb, and the body will be entangled by something, which seriously affects the patient's quality of life, and also affects the patient's future mobility, which is very harmful to the body.

3. Urinary retention.

Myelitis can also cause autonomic dysfunction, urinary retention and spontaneous urination when the human bladder does not feel full.

4. Drying and desquamation.

Myelitis can also cause uncomfortable symptoms, such as becoming very dry and not sweating even in very hot weather. At the same time, the human body will have desquamation, nails will become very fragile, and it will also lead to nutritional disorders, edema of tissues in the body and other symptoms.

The typical clinical symptoms of myelitis are motor disturbances, sensory deficits, and autonomic dysfunction. If you do not actively accept regular ** in time, the injury and inflammation of the spinal cord may be aggravated and spread, leaving sequelae and even paralysis.

1. Sensory impairment: all the depth and shallowness of sensation below the lesion segment are lost, and there may be a sensory hypersensitivity area or band-like abnormality at the upper edge of the sensory loss, and with the recovery of the disease, the sensory plane gradually decreases, but the recovery of sensation is slower than that of movement, and it is not obvious. In some patients, sensory and motor symptoms gradually increase after the onset of the disease, even affecting the medulla oblongata, which is called ascending myelitis.

2. Movement disorders:

1) Acute onset, rapid progression, early spinal shock, manifested as quadriplegia or flaccid paralysis of both lower limbs, hypotonia, loss of tendon reflexes, negative pathological signs, patients often complain of inability to complete certain movements, such as upper limb weakness can not hold objects firmly, weakness of arms and difficulty in buttoning clothes.

2) Weakness of the lower limbs manifests as toe mopping, difficulty in going up and down stairs and sitting up. The spinal shock phase can last for 3-4 weeks.

3) After the spinal shock period, muscle strength begins to recover from the distal end, the pyramidal tract sign below the injured segment is positive, muscle tone and tendon reflexes gradually recover, and patients often complain of fatigue, stiffness of the lower limbs or clumsiness of movement when walking. Severe spinal cord injury often results in increased flexor muscle tone.

3. Autonomic dysfunction: urinary and fecal dysfunction, manifested as urinary retention, overfilling of the bladder, and filling incontinence; Fecal incontinence or constipation. Below the level of the lesion ** dry, no sweat, brittle nails.

Typical symptoms: pain, numbness, fatigue, sensory disturbances, fever and bone pain, difficulty walking, local redness and swelling, etc. Envy Feng.

Common symptoms: The early symptoms of acute myelitis are mostly weakness and numbness of the lower limbs, back pain at the lesion site, and a feeling of banding. Sudden numbness and weakness of unilateral or bilateral lower limbs, pain in the corresponding parts, movement disorders and sensory loss, and even urinary retention, paralysis and other manifestations.

May be accompanied by systemic symptoms such as fever.

Motor dysfunction , sensory deficit , dysphagia, dysarthria, shock nerve involvement, spinal intermittent rupture, urinary and urinary retention.

Myelitis, first of all, according to the ** that caused the myelitis**, is as follows:

Clause. 1. If it is caused by an infectious disease, it is a positive primary disease against viruses, bacteria, tuberculosis and fungi.

Clause. Second, to treat the symptoms, you can use some drugs to nourish the nerve to promote nerve repair, mainly mouse nerve growth factor, gangliosides, brain protein hydrolysate, methylcobalamin, vitamin B1 and so on to promote nerve repair.

Clause. Third, edema can be improved by reducing edema with hormones, because the neurological symptoms caused by edema can also be improved with autoimmune drugs. For demyelinating myelitis caused by autoimmune factors, immunoglobulin and plasmapheresis are performed.

Clause. Fourth, it can be carried out with a large dose of hormone shock, and the follow-up training and ** should be given to promote the formation of new neural circuits in the spinal cord and improve the symptoms. Myelitis refers to the abnormal inflammatory lesions of our spinal cord, young adults are a high incidence of myelitis, myelitis patients will have general malaise, fever and upper respiratory tract infection and other symptoms in the early stage of the disease, and the onset of myelitis patients is generally more urgent, in a short period of time will lead to the occurrence of transverse spinal cord damage, so in order to avoid the onset of myelitis leading to more serious damaging consequences, we must choose some better ** Methods to perform myelitis**.

The following is an introduction to several good methods of myelitis:

1. We can deal with myelitis through the general method, because myelitis is generally acute, because patients must pay attention to bed rest after the onset of the disease, pay attention to eat more calories and foods with high vitamin content, and also pay attention to the rational application of some drugs to achieve the purpose of promoting neurological recovery, and help patients transfuse healthy plasma in the process of myelitis patients, which can effectively improve the immunity of myelitis patients. In this way, the purpose of effectively preventing the occurrence of infection can be achieved. Patients with myelitis must pay attention to relevant health care.

2. In addition, we can also use adrenocorticosteroids to effectively treat myelitis, because the onset of myelitis is closely related to the patient's own immunity, so we can achieve the best effect by applying adrenocorticosteroids when dealing with myelitis, but the dose of the drug used should be adjusted according to the actual condition of the patient.

In addition to the above methods can help us with myelitis, we can also use plasma exchange and ultraviolet radiation oxygenation to carry out myelitis, in the process of carrying out myelitis, we must also take relevant health care measures to prevent some more serious complications.

Pain, numbness, fatigue, sensory disturbances, fever, bone pain, difficulty walking, local redness and swelling.